Navigation Links
Creating safer surgery to save more lives
Date:11/23/2011

"Large numbers and large variations in the numbers indicate that improvements are possible," says Hyland at the University of Stavanger (UiS).

According to a study in Boston, USA, 234 million major surgical procedures are conducted worldwide each year. This means that one out of 25 human beings undergoes a major surgical procedure each year.

Although surgery saves and improves lives, operations are also risky. According to the WHO, serious complications occur in three to 17 per cent of all procedures in industrialised countries.

Mortality during operations is 0.4-0.8 per cent, which means that one million people die every year during or after a surgical procedure.

Robust operating teams

Hyland focuses on quality and safety at Norwegian hospitals. He believes that instead of investigating errors and faults, the best way to reduce the negative figures is to focus on and learn from what already works well.

Hyland studied a surgical unit at Haukeland University Hospital in Bergen, where he observed 27 operations over more than 60 hours to identify aspects of the practices of surgeons, nurses and physicians contributing to positive outcomes of surgical procedures.

"There are always risks involved in an operation, but the outcome is determined by more than a tired surgeon," says Hyland.

He describes the surgical operating teams as robust since the teams are prepared for unexpected incidents and complications that might occur, and since both personnel and equipment can be brought in or replaced, on short notice, if required.

"Flexible surgical units and operating teams represent a clear strength," he says. "The unit under study had extra operating rooms, extra personnel and extra equipment available.

"Through this flexibility, the unit could compensate for increased pressure or illness.

"Surgeons and nurses also knew each other well. In my study, they were stationed at the surgical unit, and did not rotate between other units at the hospital, says Hyland.

"As a result, they became familiar with each other, the routines, and the equipment. This familiarity was reflected in for instance the organisation, precision and efficient handling of instruments and equipment between nurse and surgeon".

"If disagreements arise during an operation, there is always someone, typically an experienced individual, who can calm things down and reconcile the team. This creates a sense of security both within the team and between colleagues individually."

The PhD student also emphasises that the composition of a team, i.e. an entirely experienced team contra a mixed team, plays an important role in terms of how far for instance mood swings are allowed to affect the atmosphere in the operating room.

Delays and interruptions

A surgical team takes into account many obstacles that might prevent a successful outcome of an operation. These obstacles can include changes in the order of patients, inadequate planning of the operation, and deficiencies or delays in available or ordered equipment. External calls as well as people entering and leaving the operating room can also disrupt the flow of an operation, since the team always follows a stringent schedule.

"Despite all these uncertainties, a surgical team is well prepared," says Hyland. "In particular, the team members combine both textbook knowledge and tacit knowledge, in their making of decisions during an operation."

By "tacit" knowledge, he means the team's ability to utilise many and relevant sources of information in decision-making. For instance, the team draws on information from X-rays, patient monitors, the patient's record, and each other's experiences to anticipate what happens in the operating room over the next few hours.

"The ability to handle the unexpected is second nature to a surgeon, physician or nurse with many years of experience," Hyland points out.

He believes that tacit knowledge, combined with textbook knowledge and technical skills are crucial to the surgical team's ability to create safe work practices.

As a result, the PhD student wants to refine the image held by many Norwegians of a national health system which constantly fails to deliver.

"The system strengths described represent the glue that holds the operations together. So even though surgical procedures are affected by 'unfortunate' system conditions, such as delays and disruptions, these are compensated for by the favourable team aspects."


'/>"/>
Contact: Sindre Hyland
sindre.hoyland@uis.no
47-518-34155
University of Stavanger
Source:Eurekalert

Related medicine news :

1. Personalizing cancer: Creating biomarkers from tumor DNA
2. Onyx M.D. Awarded GSA Schedule Contract Creating Increases Access to Government Physician Jobs
3. Henry Ford Health System goes radical: Creating the hospital of the future
4. NACDS' Anderson Says Retailers and Suppliers' “Health and Wellness Renaissance” is Creating a “Historic, Watershed Moment”
5. Snowflake Mobile™ Launches Platform for Creating and Deploying Mobile Apps
6. Morehead Presents Webinar on “Creating a High-Performing RN Workforce”
7. Insulin-creating cell research may lead to better diabetes treatment
8. NASAs LRO creating unprecedented topographic map of moon
9. Science Translational Medicine: Creating Hope Act incentivizes pediatric drug R&D
10. Bone-creating protein could improve dental implant success
11. Progress Seen in Creating Eye Cells From Stem Cells
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... 27, 2016 , ... "FCPX editors can now reveal their media with growing ... said Christina Austin - CEO of Pixel Film Studios. , ProSlice Color brings ... users can now reveal the media of their split screens with growing colorful panels. ...
(Date:6/27/2016)... , ... June 27, 2016 , ... TopConsumerReviews.com recently awarded ... Eyeglasses . , Millions of individuals in the United States and Canada wear ... a way to both correct vision and make a fashion statement. Even celebrities use ...
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... PawPaws ... a new product that was developed to enhance the health of felines. The formula ... , The two main herbs in the PawPaws Cat Kidney Support Supplement ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, can ... Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey ... cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, ... and his M.D from the David Geffen School of Medicine at UCLA. He trained ... Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Belgium , June 24, 2016 /PRNewswire/ ... announced the appointment of Dr. Edward Futcher ... a Non-Executive Director, effective June 23, 2016.Dr. Futcher ... and Nominations and Governance Committees.  As a non-executive ... provide independent expertise and strategic counsel to VolitionRx ...
(Date:6/23/2016)... 2016 Research and Markets has ... by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), ... Parenteral) - Global Forecast to 2021" report to ... The global pharmaceutical excipients market is projected to reach ... 6.1% in the forecast period 2016 to 2021. ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Key Pharma News Issue 52" report to their offering. ... need in influenza treatment creates a favourable commercial environment for ... and growing patient base that will serve to drive considerable ... flu vaccine would serve to cap sales considerably, but development ...
Breaking Medicine Technology: